Perspectives of providing magnesium sulfate to patients with preeclampsia and eclampsia: A qualitative study amongst nurse-midwives in Dar es Salaam, Tanzania.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read Online Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
    • Publication Information:
      Original Publication: San Francisco, CA : Public Library of Science
    • Subject Terms:
      Magnesium Sulfate*/therapeutic use ; Magnesium Sulfate*/administration & dosage ; Pre-Eclampsia*/drug therapy ; Eclampsia*/drug therapy ; Qualitative Research*; Humans ; Female ; Pregnancy ; Tanzania ; Adult ; Nurse Midwives/psychology ; Middle Aged
    • Abstract:
      Background: Preeclampsia and eclampsia are among the leading direct causes of maternal death and morbidity worldwide. Up to 34% of maternal deaths in Tanzania are due to preeclampsia/ eclampsia. Magnesium sulfate is recommended for preventing and treating convulsions in women with Preeclampsia or eclampsia. However, evidence suggests limited knowledge of its dosage and proper toxicity assessment after administration among health care providers.
      Aim of the Study: This study explored nurse-midwives' perspectives on providing MgSO4 to patients with preeclampsia or eclampsia in Tanzania.
      Materials and Methods: A descriptive exploratory qualitative study using in-depth interviews was conducted to understand nurse-midwives' perspectives on providing magnesium sulfate to patients with PE/E. Nineteen nurse-midwives were interviewed from three hospitals in the Dar es Salaam region. We used a semi-structured interview guide in Kiswahili language to collect data. All interviews were digitally recorded and transcribed verbatim. We analyzed data using inductive content analysis.
      Results: This study revealed that nurse-midwives provide magnesium sulfate to save the lives of women and their unborn children. Nurse-midwives reasoned that confidence in their skill enhances provision of magnesium sulfate. However, they were concerned about its effect on the progress of labour. Ineffective use of magnesium sulfate emerged from inadequate training, an unsupportive work environment, and underutilization of the existing guidelines.
      Conclusion: Nurse-midwives have clear drive to provide magnesium sulfate to women with preeclampsia or eclampsia. However, inadequate training, underutilization of guidelines and unsupportive work environment lead to ineffective use of magnesium sulfate. Targeted practical training should be emphasized for nurse-midwives mastery of clinical competencies.
      Competing Interests: I have read the journal’s policy and the authors of this manuscript have the following competing interests: All authors have no competing interests.
      (Copyright: © 2024 Chikwala et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
    • References:
      East Afr Health Res J. 2020;4(1):33-40. (PMID: 34308218)
      Reprod Health. 2018 Jun 22;15(Suppl 1):91. (PMID: 29945665)
      Int J Womens Health. 2020 Mar 18;12:187-196. (PMID: 32256123)
      Int J Womens Health. 2017 May 17;9:353-357. (PMID: 28553148)
      PLoS One. 2020 Jun 5;15(6):e0233323. (PMID: 32502144)
      PLoS One. 2019 Apr 9;14(4):e0214807. (PMID: 30964909)
      BMJ Open. 2019 Feb 19;9(2):e020608. (PMID: 30782861)
      BJOG. 2022 Feb;129(3):379-391. (PMID: 34520111)
      Nurse Educ Today. 2004 Feb;24(2):105-12. (PMID: 14769454)
      Pregnancy Hypertens. 2022 Mar;27:148-169. (PMID: 35066406)
      Hypertension. 2018 Jul;72(1):24-43. (PMID: 29899139)
      J Matern Fetal Neonatal Med. 2022 Oct;35(20):3885-3890. (PMID: 33135513)
      Soc Sci Med. 2022 Jan;292:114523. (PMID: 34785096)
      PLoS One. 2017 Mar 16;12(3):e0172602. (PMID: 28301493)
      Int J Gynaecol Obstet. 2021 Jul;154 Suppl 1:3-31. (PMID: 34327714)
      J Res Nurs. 2020 Aug;25(5):443-455. (PMID: 34394658)
    • Accession Number:
      7487-88-9 (Magnesium Sulfate)
    • Publication Date:
      Date Created: 20240807 Date Completed: 20240807 Latest Revision: 20240809
    • Publication Date:
      20240809
    • Accession Number:
      PMC11305528
    • Accession Number:
      10.1371/journal.pone.0308382
    • Accession Number:
      39110688